Table 8C- Proposed Statewide Average Total Cost to Charge Ratios (CCRs) for  LTCHs  March 2009		
State	Urban	Rural
Alabama	0.273	0.351
Alaska	0.397	0.775
Arizona	0.301	0.418
Arkansas	0.337	0.369
California	0.234	0.307
Colorado	0.305	0.462
Connecticut	0.432	0.557
Delaware	0.523	0.470
District of Columbia*	0.355	---
Florida	0.251	0.290
Georgia	0.342	0.413
Hawaii	0.411	0.530
Idaho	0.498	0.632
Illinois	0.326	0.406
Indiana	0.419	0.480
Iowa	0.366	0.485
Kansas	0.318	0.457
Kentucky	0.396	0.396
Louisiana	0.315	0.367
Maine	0.522	0.486
Maryland**	0.332	0.425
Massachusetts*	0.495	1.208
Michigan	0.391	0.488
Minnesota	0.411	0.556
Mississippi	0.321	0.379
Missouri	0.348	0.388
Montana	0.453	0.504
Nebraska	0.363	0.489
Nevada	0.228	0.512
New Hampshire	0.451	0.438
New Jersey*	0.188	---
New Mexico	0.396	0.381
New York	0.374	0.556
North Carolina	0.420	0.417
North Dakota	0.467	0.475
Ohio	0.351	0.547
Oklahoma	0.316	0.407
Oregon	0.482	0.443
Pennsylvania	0.282	0.441
Puerto Rico*	0.515	---
Rhode Island*	0.406	---
South Carolina	0.306	0.333
South Dakota	0.345	0.441
Tennessee	0.311	0.391
Texas	0.273	0.359
Utah	0.448	0.596
Vermont	0.611	0.659
Virginia	0.384	0.390
Washington	0.388	0.465
West Virginia	0.505	0.476
Wisconsin	0.443	0.481
Wyoming	0.445	0.575
		
		
Notes:		
"*All counties in the State or Territory are classified as urban, with the exception of Massachusetts, which has areas designated as rural.  However, no short-term acute care IPPS hospitals or LTCHs are located in those areas as of March 2009."		
"**Determined from national average IPPS total CCRs, as discussed in section V.C.2. of the Addendum of the RY 2010 LTCH PPS proposed rule."		
